A postpartum client has continuous seepage of bright red blood from the vagina. The nurse completes an assessment and finds a firm uterus, 1 cm below the umbilicus, and midline. What does the nurse suspect is the reason for the bleeding?

Uterine atony

A cervical laceration

Retained placental fragments

A urinary tract infection

Answer and Explanation

The Correct Answer is C

A. Uterine atony is characterized by a boggy and enlarged uterus, not a firm one.

B.   A cervical laceration would typically present with bleeding and possibly a deviation of the uterus from the midline, but the firm uterus suggests a different cause.
C.   Continuous seepage of bright red blood, along with a firm uterus, 1 cm below the umbilicus, and midline, is indicative of retained placental fragments.

D.   A urinary tract infection would not typically cause continuous bright red blood seepage from the vagina.

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Correct Answer is ["B","C","E"]

Explanation

A. Cervical dilation of 5 cm typically indicates the active phase rather than the latent phase of the first stage of labor.

B. Cervical effacement of 50% is consistent with the latent phase, where cervical effacement is a prominent feature.
C. Contractions lasting about 30 to 45 seconds are characteristic of the latent phase.

D. Moderate contraction intensity is more typical of the active phase of the first stage of labor.

E. Contractions occurring every 5 to 10 minutes are consistent with the latent phase, where contractions are typically less frequent than in the active phase.

A. Artificial rupture of membranes B. Insertion of laminaria C. Use of catheter filled with sterile saline D. Membrane stripping

Correct Answer is B

Explanation

A. Artificial rupture of membranes involves breaking the amniotic sac to induce or augment labor but is not a method for cervical ripening.
B. Laminaria is a common mechanical method used to ripen the cervix before labor induction.

Laminaria tents are placed in the cervix to gradually dilate and soften it.

C. A catheter filled with sterile saline may be used for cervical ripening, but it is not the most common mechanical method.
D. Membrane stripping involves separating the amniotic membrane from the cervix, not a mechanical method for cervical ripening.

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A postpartum client has continuous seepage of bright red blood from the vagina. The nurse completes an assessment and finds a firm uterus, 1 cm below the umbilicus, and midline. What does the nurse suspect is the reason for the bleeding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is admitting a pregnant client into the labor and delivery unit. Which findings indicate the client is in the latent phase of the first stage of labor? Select all that apply.

Correct Answer is ["B","C","E"]

Explanation

The nurse is caring for a client during a vaginal exam by the provider. The provider informs the client that he will use the most common mechanical method to ripen her cervix prior to induction of labor. What is the method being used by the provider?

Correct Answer is B

Explanation

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